Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | MD054375L | PA |
NPI | 1023564762 |
---|---|
Provider Name | Dr. Elizabeth Tarka |
First Address | Phoenixville, PA 19460 |
Second Address | Phoenixville, PA 19460 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/09/2016 |
Last Update Date | 01/09/2016 |